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Arrangements with Symphony Icon Inc (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Mar. 31, 2017
Sep. 30, 2016
Apr. 30, 2015
Dec. 31, 2014
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Jul. 30, 2012
Jul. 30, 2010
Jun. 15, 2007
Loss Contingencies [Line Items]                      
Holdings Contribution to Icon                     $ 45,000
Lexicon Sold Shares to Holdings                     1,092,946
Lexicon Received Cash from Holdings                     $ 15,000
Lexicon Paid Holdings Cash                   $ 10,000  
Symphony Base Payment in Shares                 1,891,074    
Symphony Base Payment Obligation                 $ 35,000    
Symphony Contingent Payment Maximum                   $ 45,000  
Symphony Contingent Payment Percentage                   50.00%  
Symphony Regulatory Approval Payment                   $ 15,000  
Symphony Regulatory Approval Reduction Percentage                   50.00%  
Symphony Regulatory Approval Percentage Limit                   50.00%  
Symphony Payment in Stock Limitation                   50.00%  
Symphony Contingent Payment In Cash $ 10,500 $ 3,200 $ 750 $ 5,800              
Symphony Amendment Buyout   $ 21,000                  
Symphony Contingent Payment in Shares 659,905     666,111              
Symphony Contingent Payment Total       $ 11,500              
Symphony Fair Value of Base and Contingent Payments                   $ 45,600  
Symphony Base Payment Discount Rate                   14.00%  
Symphony Contingent Payment Discount Rate                   18.00%  
Increase in fair value of Symphony Icon, Inc. purchase liability         $ 0 $ 0 $ 0 $ 2,101      
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings               $ 2,101